NDC codes

FDA NDC Directory
Product NDC (as listed)11822-3024Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-3024Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
11822-3024-411822302404473 mL in 1 BOTTLE, PLASTIC (11822-3024-4)Marketed from Dec 2, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Oral Sore Antiseptic
Generic name (nonproprietary)
hydrogen peroxide, menthol
Active ingredients
Hydrogen peroxide — 1.5 mg/mLMenthol — 1 mg/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication 505G(a)(3)
Marketing start
Listing expires
Identifiers
Product ID 11822-3024_499edc10-3e99-6a7b-e063-6394a90a0feeSPL ID 499edc10-3e99-6a7b-e063-6394a90a0feeSPL set ID e67046ce-bfe0-4454-bbe8-6a3783afb6f5UNII BBX060AN9V, L7T10EIP3A

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N411822302404 followed by a unit qualifier and the quantity

Package 11822-3024-04. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

uses first aid to help protect against bacterial contamination in minor oral wounds for temporary pain relief and temporary use in cleansing minor wounds or minor gum inflammation resulting from: minor dental procedures dentures orthodontic appliances accidental injury other irritations of the mouth and gums canker sores aids in the removal of: phlegm mucus other secretions associated with occasional sore mouth

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under 505G(a)(3)

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under 505G(a)(3)
ProductStrengthForm · routeLabelerProduct NDC
XPRO Antiseptic Hand SanitizeralcoholAlcohol .7 mL/mLGelTopicalSavone SA77939-000
AcetaminophenAcetaminophen 325 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8397
Fresh Feels Hand Sanitizer Mist Papaya Sunset Scentethyl alcoholAlcohol 70 mL/100mLSprayTopicalAmber Glow Cosmetics Limited87302-205
Touchland Power Mist Hand Sanitizer UnscentedalcoholAlcohol .7 mL/mLSprayTopicalChurch & Dwight Co., Inc.10237-109
PURELL Hand Sanitizing Wipes Clean Refreshing Scentbenzalkonium chloride wipeBenzalkonium chloride .13 mg/100mLClothTopicalGOJO Industries, Inc.21749-359
berries and cream hand sanitizeralcoholAlcohol .62 mL/mLGelTopicalTarget Corporation11673-785
Safeguard Hand SanitizeralcoholAlcohol 64 g/100mLGelTopicalThe Procter & Gamble Manufacturing Company37000-603
Hand Washbenzalkonium chlorideBenzalkonium chloride 1.3 mg/mLLiquidTopicalDemoulas Super Markets, Inc53942-466
Dial Professional Antibacterial Defense Spring Waterbenzalkonium chlorideBenzalkonium chloride .13 g/100mLSolutionTopicalHenkel Corporation54340-121
CVS Antisepticcetylpyridinium chlorideCetylpyridinium chloride .7 mg/mLRinseOralCVS Pharmacy, Inc.59779-299
Anti Bacterial Hand Gel WinteralcoholAlcohol 71 mL/100mLGelTopicalBath & Body Works, Inc.62670-6957
Anti Bacterial Hand Gel Black Cherry MerlotalcoholAlcohol 71 mL/100mLGelTopicalBath & Body Works, Inc.62670-6693
Antibacterial Foaming Skin Cleanserbenzalkonium chlorideBenzalkonium chloride .13 mg/mLSoapTopicalBetco Corporation, Ltd.65601-709
Hawthorn Hygiene Solutions ENERGY ANTIBACTERIAL FOAM FRAGRANCE FREE 1200 mLbenzalkonium chlorideBenzalkonium chloride .0013 mg/mLLiquidTopicalBUNZL Distribution66294-114
PRO-LINK Free Hands Antibacterial Foam So apchloroxylenolChloroxylenol .003 mg/mLLiquidTopicalPro-Link, Inc.66908-081
B-Pure Moisturizing Hand Sanitizer with Collagen Sugared Iris ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-227
Fresh Feels Hand Sanitizer Mist Seashell Sunshine Scentethyl alcoholAlcohol 70 mL/100mLSprayTopicalAmber Glow Cosmetics Limited87302-202
Sparkling Cranberry Hand SanitizeralcoholAlcohol .62 mL/mLGelTopicalTarget Corporation11673-782
Safeguard Antibacterial Foamingbenzalkonium chlorideBenzalkonium chloride .12 g/100mLSoapTopicalThe Procter & Gamble Manufacturing Company37000-601
Advanced Hand SanitizeralcoholAlcohol 70 mL/100mLGelTopicalSalado Sales Inc.57243-370

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